Individual
DR. VIENNA R NIGHTINGALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3344 GUNSTON RD, ALEXANDRIA, VA 22302-2133
(312) 567-0765
Mailing address
3344 GUNSTON RD, ALEXANDRIA, VA 22302-2133
(312) 567-0765
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810005311
VA
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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